Healthcare Provider Details

I. General information

NPI: 1700912896
Provider Name (Legal Business Name): BROOKLINE HEARING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 MARION ST
BROOKLINE MA
02446-4703
US

IV. Provider business mailing address

115 MARION ST
BROOKLINE MA
02446-4703
US

V. Phone/Fax

Practice location:
  • Phone: 617-232-1299
  • Fax:
Mailing address:
  • Phone: 617-232-1299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: JUDITH ARICK
Title or Position: PRESIDENT
Credential: AU.D., CCC-A
Phone: 617-232-1299